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TECHNOLOGY AND PRACTICE AS ONEEnhanced Technology Support Model
Disclosure Statement
None of the nurse planners or speakers have anything to disclose relevant to the content of this program.
Learning Objectives
Describe current and ongoing challenges with technology adoption in a large community health system
Discuss the technical and skills gaps identified after a multi- year journey implementing clinical information systems
Provide solutions which can be leveraged to increase technology adoption, staff engagement and competency
Describe outcome measurements
About Virtua
Comprehensive healthcare system headquartered in Marlton, NJ 3 Hospitals Health and Wellness
Centers Urgent Care Clinics Occupational Health Post Acute Care Retail Fitness Centers/Spas
EMR implemented in most inpatient care areas
Achieved the Stage 6 designation of the HIMSS Analytics Electronic Medical Records (EMR) Adoption Model™.
Where We Started
Technology
• Began EHR journey in 2006• Best in breed System• Over 100 applications that are supported and used
Support
• Over 100 Super Users• Staff involved in the design team
Barriers
Technology Adoption Barriers
Pace of Change
EngagementCompetencyOrganizational
Structure
The wake up call
New EMR
New Culture where Technology and Practice are One “We are not installing technology for its own sake, but rather to enable a clinical practice change. So if we want to deliver real value through IT, we need to ensure we use Information Technology to change practice; in our case, change nursing care delivery.” (Murphy, 406)
Practice
Technology
Improved Patie
nt Outcome
s
Key Stakeholder Change Agents
Clinical Transformation Team Leadership End Users
Clinical Transformation Team
Then
•Central Location•Education Focus•Two Teams•Implementation Focus
Now
•Divisionally Based•Support Focus•One Team•Structured Rounding
Learning Delivery
Simulation and Gamification
Conversion of OrientationCompetency
Partnerships with Academia
Learning Delivery
Leadership
Leadership
EngagementCompetency & Education
Super User Revival
End Users
End Users
Nursing Structure
Nursing Executive Council
Nursing Congress Councils
Nursing Practice Council
Unit Based Shared Governance Councils
IT Structure
IT Board
Clinical IT/Physician IT Council
Staff IT Council
iTeam
Two way Communication & Collaboration at all levels
Outcomes
Help Desk Calls
End User Satisfaction
CTT Team
Trends
Issues
End User Satisfaction
Rounding
Metrics
Recognition Criteria
Mentor communication
I-Team
Cost Savings
End User satisfaction
Learning Delivery
Clinical Champions
Ongoing Challenges
Engagement
Leadership
Competency
Technical Support
THANK YOU